Carter Nursing And Rehabilitation
Grayson, Carter County, Kentucky · CCN 185253 · For-profit (Corporation) · part of David Marx (10 facilities, chain average 2.9 stars)
CMS rates Carter Nursing And Rehabilitation 1 of 5 overall as of August 2026. 120 certified beds, 110 residents a day on average. 16 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $18,000.
On record
- Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 5 / 1 of 5 |
Staffing
| Total nurse staffing | 3.21328 hours per resident per day |
|---|---|
| Registered nurses | 0.37201 hours per resident per day |
| Weekend total | 2.54097 hours per resident per day |
| Nursing staff turnover | 68.5% (registered nurses 61.5%) |
| Administrators who left | 2 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-08-29 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-09-12 |
| 2025-08-29 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-09-12 |
| 2025-08-29 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2025-09-12 |
| 2025-08-29 complaint survey |
Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-12 |
| 2025-08-29 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-09-12 |
| 2023-07-17 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2023-08-06 |
| 2023-07-17 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-08-08 |
| 2023-07-17 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-08-06 |
| 2023-07-17 | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-08 |
| 2023-07-17 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0606 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-06 |
| 2023-07-17 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-10 |
| 2023-07-17 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-06 |
| 2023-07-17 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-06 |
| 2023-07-17 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · tag F0806 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-08 |
| 2023-07-17 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-10 |
| 2019-11-07 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2019-12-14 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-29 | Fine | $10,000 |
| 2025-08-29 | Fine | $8,000 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Carter Nursing And Rehabilitation Holdings LLC Organization | 5% or greater direct ownership interest | 100% | 2019-07-25 |
| 250 Mcdavid Blvd Snf Realty Holdings LLC Organization | adp of the snf | — | 2019-09-01 |
| 250 Mcdavid Blvd Snf Realty LLC Organization | adp of the snf | — | 2019-09-01 |
| Bluegrass Consulting Group LLC Organization | adp of the snf | — | 2025-07-16 |
| Kentucky Snf Realty Holdings LLC Organization | adp of the snf | — | 2019-09-01 |
| Mdg Real Estate Global Limited Organization | adp of the snf | — | 2019-09-01 |
| 250 Mcdavid Blvd Snf Realty LLC Organization | operational/managerial control | — | 2019-09-01 |
| Bluegrass Consulting Group LLC Organization | operational/managerial control | — | 2019-09-01 |
| Alexander, David Individual | adp of the snf | — | 2023-05-01 |
| Chamberlain, Margaret Individual | adp of the snf | — | 2023-09-11 |
| Gibbs, Sarah Individual | adp of the snf | — | 2025-01-01 |
| Marx, David Individual | adp of the snf | — | 2019-09-01 |
| Pruitt, Paul Individual | adp of the snf | — | 2023-05-01 |
| Rewa, Angela Individual | adp of the snf | — | 2023-10-23 |
| Russell, Robert Individual | adp of the snf | — | 2024-04-08 |
| Shatrov, Anzhelika Individual | adp of the snf | — | 2024-04-08 |
| Shields, Kari Individual | adp of the snf | — | 2019-09-01 |
| Wolfe, Eric Individual | adp of the snf | — | 2023-09-11 |
| Pruitt, Paul Individual | managing control - governing body | — | 2023-05-01 |
| Alexander, David Individual | operational/managerial control | — | 2023-05-01 |
| Chamberlain, Margaret Individual | operational/managerial control | — | 2023-09-11 |
| Gibbs, Sarah Individual | operational/managerial control | — | 2025-01-01 |
| Marx, David Individual | operational/managerial control | — | 2019-09-01 |
| Pruitt, Paul Individual | operational/managerial control | — | 2023-05-01 |
| Rewa, Angela Individual | operational/managerial control | — | 2023-10-23 |
| Russell, Robert Individual | operational/managerial control | — | 2024-04-08 |
| Shatrov, Anzhelika Individual | operational/managerial control | — | 2024-12-02 |
| Shields, Kari Individual | operational/managerial control | — | 2025-01-01 |
| Wolfe, Eric Individual | operational/managerial control | — | 2023-09-11 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Carter Nursing And Rehabilitation.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Carter County.